Medical billing and credentialing specialist (Athena Proficiency)

Our client, a growing healthcare practice, is seeking an experienced Medical Billing & Credentialing Specialist to support its financial and administrative operations. This role is ideal for a detail-oriented healthcare professional with strong experience in medical billing, Revenue Cycle Management (RCM), Accounts Receivable (AR), and provider credentialing.

The ideal candidate is self-motivated, organized, and able to work independently while managing billing processes, resolving claim issues, and maintaining provider credentialing within Athena.

Key Responsibilities

• Manage the full medical billing and Revenue Cycle Management (RCM) process.
• Monitor and follow up on aging Accounts Receivable (AR) and outstanding claims.
• Investigate and resolve claim denials, payment discrepancies, and reimbursement issues.
• Verify patient insurance eligibility and benefits.
• Complete provider credentialing and recredentialing processes.
• Maintain accurate billing, credentialing, and provider records within Athena.
• Communicate with insurance companies regarding claims, credentialing, enrollments, and payment issues.
• Maintain accurate documentation within the practice management system.
• Support additional healthcare administrative tasks as needed.
• Ensure compliance with HIPAA regulations and medical billing best practices.

Required Qualifications

• Minimum 3 years of experience in medical billing, Accounts Receivable (AR), and provider credentialing.
• Strong understanding of the complete Revenue Cycle Management (RCM) process.
• Hands-on experience using Athena.
• Proven experience resolving denied claims and managing aging AR.
• Excellent verbal and written English communication skills.
• Ability to work independently with minimal supervision.
• Strong organizational, analytical, and time-management skills.
• High level of accuracy and attention to detail.

Preferred Qualifications

• Experience supporting multiple medical specialties.
• Knowledge of Medicare, Medicaid, and commercial insurance plans.
• Experience with provider enrollment and payer credentialing.
• Comfortable working remotely in a fast-paced healthcare environment.

We’re Looking For Someone Who Is

• Self-driven, proactive, and highly accountable.
• Organized with excellent problem-solving skills.
• Detail-oriented and committed to accuracy.
• Able to prioritize competing tasks effectively.
• Results-oriented with a strong sense of ownership.
• Comfortable working independently while consistently meeting deadlines.

Work Schedule

• Part-Time initially, with the opportunity to transition into a Full-Time role based on business needs.
• Schedule aligned with the U.S. Eastern Time (ET) zone.

Technical Requirements

• Reliable computer or laptop capable of supporting healthcare software.
• Stable high-speed internet connection.
• Professional headset with microphone.
• Quiet, distraction-free home office.

• Fully remote position.
• Opportunity to grow into a full-time role with a growing healthcare practice.